Joanne Marie Leary, MSM, OTR/L
Occupational Therapist in Ave Maria, FL. Individual provider (NPI-1).
NPI number1649413402
StatusActive
Last updated in NPPESJun 27, 2013
Details
- NPI
- 1649413402
- Entity type
- Individual (NPI-1)
- Name
- Ms. Joanne Marie Leary
- Credential
- MSM, OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2009
- Last updated
- Jun 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT 13531 | FL | Yes |
| 225XG0600X | Occupational Therapist, Gerontology | OT 13531 | FL | |
| 225XM0800X | Occupational Therapist, Mental Health | OT13531 | FL |
Practice location
7962 Guadiana WayAve Maria, FL 34142-9596
Phone 239-220-6042
Mailing address
7962 Guadiana WayAve Maria, FL 34142-9596
Phone 239-220-6042
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